Organization
GREEN APPLE NUTRITION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HABEBA ZOUROB NUTRITIONEST (OWNER)
(734) 845-0076
Entity
Organization
Contact information
Practice address
7252 ANDOVER DR, CANTON, MI 48187-1130
(734) 845-0076
Mailing address
7252 ANDOVER DR, CANTON, MI 48187-1130
(734) 845-0076
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MI
Enumeration date
10/02/2018
Last updated
10/02/2018
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